Lisa Joanne Repper, NP
Nurse Practitioner, Adult Health in Stony Brook, NY. Individual provider (NPI-1).
NPI number1265701544
StatusActive
Last updated in NPPESFeb 6, 2013
Details
- NPI
- 1265701544
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Joanne Repper
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2011
- Last updated
- Feb 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F305836 | NY | Yes |
Practice location
Stony Brook University Medical Ctr3 Edmund Pellegrino Dr.
Stony Brook, NY 11794-0001
Phone 631-638-1000 · Fax 631-444-7530
Mailing address
Stony Brook University Medical Ctr3 Edmund Pellegrino Dr.
Stony Brook, NY 11794-0001
Phone 631-638-1000 · Fax 631-444-7530
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All 133 Adult Health Nurse Practitioner providers in Stony Brook · All 3,268 providers in Stony Brook
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